Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Ann Vidovich Root

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1396630448

Lisa Ann Vidovich Root is a Psychiatric/Mental Health Registered Nurse in Eureka, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

720 Wood St
Eureka, CA 95501-4413
Phone: (702) 268-2990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 95165375 (CA)

Record details

NPI number1396630448
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 10, 2025
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025

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